The Relationship Between Alcohol Consumption and Unprotected Sex Among Known HIV-discordant Couples in Rwanda and Zambia
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
Although alcohol abuse is highly prevalent in many countries in sub-Saharan Africa, little is known about the relationship between alcohol consumption and risky sexual behavior in these settings. An understanding of this relationship is particularly important given the high prevalence of HIV that exists in many of these countries. This study analyzes data collected from members of cohabiting HIV-discordant couples regarding alcohol consumption and self-reported condom use. After controlling for demographic and socioeconomic co-factors, alcohol use by male partners of HIV-discordant couples was associated with self-reported unprotected sex at follow-up. Counseling about alcohol use should be part of HIV testing and counseling programs, particularly among those found to be HIV-positive.
- Allen, S., Meinzen-Derr, J., Kautzman M., Zulu, I., Trask, S., Fideli, U., Musonda, R., Kasolo, F., Gao, F., & Haworth, A. (2003). Sexual behavior of HIV discordant couples after HIV counseling and testing. AIDS, 17, 733–740. CrossRef
- Allen, S., Tice, J., Van de Perre, P., Serufilira A., Hudes, E., Nsengumuremyi, F., Bogaerts, J., Lindan, C., & Hulley, S. (1992). Effect of serotesting with counselling on condom use and seroconversion among HIV discordant couples in Africa. British Medical Journal, 304, 1605–1609. CrossRef
- Bagasra, O., Kajdacsy-Balla, A., Lischner H. W., & Pomerantz, R. J. (1993). Alcohol intake increases human immunodeficiency virus type 1 replication in human peripheral blood mononuclear cells. Journal of Infectious Diseases, 167, 789–797.
- Cook, R. T., Stapleton, J. T., Ballas, Z. K., & Klinzman, D. (1997). Effect of a single ethanol exposure on HIV replication in human lymphocytes. Journal of Investigative Medicine, 45, 265–271. .
- Crosby, R., DiClemente, R. J., Wingood, G. M., Harrington, K., Davies, S. L., Hook, E. W., & Oh, M. K. (2002). Predictors of infection with Trichomonas vaginalis: A prospective study of low income African-American adolescent females. Sexually Transmitted Infections, 78, 360–364. CrossRef
- Crum, R. M., Galai, N., Cohn, S., Celentano, D. D., & Vlahov, D. (1996). Alcohol use and T-lymphocyte subsets among injection drug users with HIV-1 infection: A prospective analysis. Alcoholism: Clinical and Experimental Research, 20, 364–371. CrossRef
- Fong, I. W., Read, S., Wainberg, M. A., Chia, W. K., & Major, C. (1994). Alcoholism and rapid progression to AIDS after seroconversion. Clinical Infectious Diseases, 19, 337–338.
- Hugonnet, S., Mosha, F., Todd, J., Mugeye, K., Klokke, A., Ndeki, L., Ross, D., Grosskurth, H., & Hayes, R. (2002). Incidence of HIV infection in stable sexual partnerships: A retrospective cohort study of 1802 couples in Mwanza Region, Tanzania. Journal of Acquired Immune Deficiency Syndromes, 30, 73–80. CrossRef
- Jonsson, M., Karlsson, R., Rylander, E., Gustavsson, A., & Wadell, G. (1997). The associations between risk behaviour and reported history of sexually transmitted diseases among young women: a population-based study. International Journal of STD and AIDS, 8, 501–505. CrossRef
- Lopez A. D., & Matthers C. D. (Eds.) (2006). Global burden of disease and risk factors. Geneva: World Health Organization.
- McKenna, S. L., Muyinda, G. K., Roth, D., Mwali, M., Ng’andu, N., Myrick, A., Luo, C., Priddy, F. H., Hall, V. M., von Lieven, A. A., Sabatino, J. R., Mark, K., & Allen, S. A. (1997). Rapid HIV testing and counseling for voluntary testing centers in Africa. AIDS, 11, S103–S110.
- Palen, L.-A., Smith, E. A., Flisher, A. J., Caldwell, L. L., & Mpofu, E. (2006). Substance use and sexual risk behavior among South African eighth grade students. Journal of Adolescent Health, 39, 761–763. . CrossRef
- Quinn, T. C., Wawer, M. J., Sewankambo, N., Serwadde, D., Li, C., Wabwire-Mangen, F., Meehan, M. O., Lutalo, T., & Gray, R. H. (2000). Viral load and heterosexual transmission of human immunodeficiency virus type 1. New England Journal of Medicine, 342, 921–929. CrossRef
- Radcliffe, K. W., Ahmad, S., Gilleran, G., & Ross, J. D. C. (2001). Demographic and behavioural profile of adults infected with chlamydia: A case–control study. Sexually Transmitted Infections, 77, 265–270. CrossRef
- Rehm, J., Room, R., Monteiro, M., Gmel, G., Graham, K., Rehn, N., Sempos, C. T., Frick, U., & Jernigan, D. (2004). Alcohol use. In M. Ezzati, A. D. Lopez, A. Rodgers, & C. J. L. Murray (Eds.), Comparative quantification of health risks: Global and regional burden of disease attributable to several major risk factors (Chapter 12. Vol. 1). Geneva, Switzerland: WHO.
- Simbayi, L. C., Kalichman, S. C., Jooste, S., Mathiti, V., Cain, D., & Cherry, C. (2004). Alcohol use and sexual risks for HIV infection among men and women receiving sexually transmitted infection clinic services in Cape Town, South Africa. Journal of Studies on Alcohol, 65, 434–442.
- United Nations Joint Programme on HIV/AIDS (UNAIDS) and World Health Organization (WHO). (2006). 2006 UNAIDS/WHO AIDS epidemic update (UNAIDS/06.29E). Geneva: UNAIDS. .
- Wang X., Douglas S. D., Metzger D. S., Guo C. J., Li Y., O’Brien C. P., et al. (2002). Alcohol potentiates HIV-1 infection of human blood mononuclear phagocytes. Alcohol Clinical and Experimental Research, 26, 1880–1886.
- Weiser S. D., Leiter, K., Heisler, M., McFarland, W., Percy-de-Korte, F., DeMonner, S. M., Tlou, S., Phaladze, N., Iacopino, V., & Bangsberg, D. R. (2006). A population-based study on alcohol and high-risk sexual behaviors in Botswana. PLoS Medicine, 3, e392 (DOI: 10.1371/journal.pmed.0030392).
- WHO (2001). AUDIT: The alcohol use disorders identification test: Guidelines for use in primary care (2nd ed.). Geneva: Department of Mental Health and Substance Dependence, World Health Organization.
- Zablotska, I. B., Gray, R. H., Serwadda, D., Sewankambo, K. K., & Lutalo, T. (2006). Alcohol use before sex and HIV acquisition: A longitudinal study in Rakai, Uganda. AIDS, 20, 1191–1196. CrossRef
- The Relationship Between Alcohol Consumption and Unprotected Sex Among Known HIV-discordant Couples in Rwanda and Zambia
AIDS and Behavior
Volume 12, Issue 4 , pp 594-603
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Industry Sectors
- Author Affiliations
- 1. Rwanda Zambia HIV Research Group, Rollins School of Public Health, Emory University, Atlanta, GA, USA
- 2. Hubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road, NE, Atlanta, GA, USA
- 3. University Teaching Hospital School of Medicine, University of Zambia, Lusaka, Zambia
- 4. Zambia Emory HIV Research Project, Lusaka, Zambia
- 5. Project San Francisco, Kigali, Rwanda
- 6. The Ministry of Health Counseling Services Unit, Chainama Hills Hospital & Department of Psychiatry, University of Zambia School of Medicine, Lusaka, Zambia